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Kidney Transplantation– Medical, Surgical, and Immunologic Considerations

Kidney Transplantation– Medical, Surgical, and Immunologic Considerations. Anil Kapoor, MD, FRCS(C) Associate Professor of Surgery McMaster University. OBJECTIVES. Transplant immunology Acute and Chronic Rejection How does a transplant program work ? Indications for renal transplant

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Kidney Transplantation– Medical, Surgical, and Immunologic Considerations

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  1. Kidney Transplantation– Medical, Surgical, and Immunologic Considerations Anil Kapoor, MD, FRCS(C) Associate Professor of Surgery McMaster University

  2. OBJECTIVES Transplant immunology Acute and Chronic Rejection How does a transplant program work ? Indications for renal transplant Patient selection Technical/ Surgical considerations in renal transplant

  3. Background DEMOGRAPHICS OF THE TRANSPLANT WAITING LIST TRANSPLANT DONOR & RECIPIENT WORK UP TRANSPLANT SURGERY TRANSPLANT IMMUNOLOGY ( REJECTION ) POST TRANSPLANT ISSUES HLA/ CROSS MATCH

  4. Single kidney transplants by organ source, Canada, 1990-1999(Number) Source: CORR/CIHI 2001

  5. Comparison of cadaveric organ donation rates, Canada and Provinces, 1998 -2000 (Rate per million population1) 1Crude rate Source: CORR/CIHI 2001

  6. International comparison of cadaveric organ donation rates, 1999 (Rate per million population1) 1Crude rate. Sources: CORR/CIHI 2000; United Network for Organ Sharing (UNOS); Organizacion Nacional de Trasplantes in Spain; Australia & New Zealand Organ Donation Registry.

  7. Cadaveric donor cause of death, Canada, 1999 1 Includes cerebrovascular accident, ruptured cerebral aneurysm and spontaneous cerebral haemorrhage. 2 Motor vehicle collision Source: CIHI/CORR 2001

  8. Cadaveric donors by gender and average age, Canada, 1992-1999 Source: CIHI/CORR 2001

  9. Actual cadaveric, potential cadaveric and living organ donors, Provinces, 2000 (Rate per million population1) 1Crude rate. Source: CIHI/CORR 2001

  10. Bertram L. Kasiske

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  38. John M. Barry

  39. John M. Barry

  40. John M. Barry

  41. John M. Barry

  42. John M. Barry

  43. Angelo M. de Mattos

  44. Laurence Chan

  45. Laurence Chan

  46. Laurence Chan

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